Reviews care utilization of long-term... [+] More
Reviews care utilization of long-term care nursing home, assisted living facility, and home health care clients. Typically requires graduation from an accredited School of Nursing as a Registered Nurse or a Certified Case Manager with experience in home health or gerontology.
Orders and reviews care coordination assessments, evaluations, and plans of care. Performs telephonic care coordination and follow-up. Communicates in writing or via telephone with clients, family members, agents, physicians, and discharge planners on eligibility requirements, policy benefits eligibility determinations, and contract provisions. Communicates with claim department staff, agents, and clients the licensing requirements for facilities and service providers. Provides Chronically Ill Certification that is required for tax-qualified plans. Processes documentation regarding eligibility. Monitors follow-up assessments or plans of care needed based on product type, diagnosis, and eligibility. Calls and verifies provider qualifications for policy benefits. Answers, services, and documents all notice of claim calls pertaining to policy benefits. Sets up initial assessment with vendor, identifies type of assessment needed, and coordinates resource lists. (Source: eDOT Job Description) [-] Less
Cost of Living Data
A renter's cost of living for someone making $101,964 in Las Vegas, Nevada is 101.1% of the US National Average. For more information, or to compare cost of living data between two cities, click here.
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